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Neurosurgery

Neurosurgery

Neurosurgery

The Neurosurgery department provides care for all cranial and spinal neurosurgical pathology. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention.

The Neurosurgery department provides care for all cranial and spinal neurosurgical pathology. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention.

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    General neurosurgery, neuro-oncology, skull base surgery, awake surgery, spine, pain

    Professor Evelyne Emery
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    Consultation schedule
    Tuesday and Wednesday from 9 a.m. to 1 p.m.

    Pediatric Neurosurgery, General Neurosurgery, Vascular Neurosurgery, Spine

    Dr Alin Borha
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    Consultation schedule
    Monday from 9 a.m. to 1 p.m.

    General neurosurgery, Degenerative spine, Oncological spine

    Dr Aymen Ben Tebra
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    Consultation schedule
    Thursday from 9 a.m. to 5 p.m.

    General Neurosurgery, Pain Surgery, Pediatric Neurosurgery, Neuro Handicap

    Dr Camille DiPalma
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    Consultation schedule
    Wednesday from 9 a.m. to 12 p.m.
    at the pain center

    Vascular Neurosurgery, Skull Base Surgery, Clinical Research

    Professor Thomas Gaberel
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    Consultation schedule
    Monday from 8:30 a.m. to 1 p.m.

    Spine, Complex Spine, Scoliosis, RAAC Spine

    Dr Benjamin Guillard
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    Consultation schedule
    Monday from 2 p.m. to 5 p.m.
    Tuesday from 9 a.m. to 1 p.m.

    General neurosurgery, degenerative and traumatic spine

    Dr. Amine Benghalia
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    Consultation schedule
    Monday from 2 p.m. to 5 p.m.
    Friday: Emergencies

    Spine, Complex Spine, Scoliosis

    Dr Paul Frechon
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    Consultation schedule
    Monday from 9 a.m. to 5 p.m.

    General neurosurgery, Degenerative and traumatic spine, Skull base endoscopy

    Dr Frederic Rault
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    Consultation schedule
    Wednesday from 9 a.m. to 1 p.m.
    Level 6

    General Neurosurgery, Neuro Oncology, Degenerative Spine

    Dr Arthur Leclerc
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    Consultation schedule
    Friday from 9 a.m. to 12 p.m.

    Neuro-oncology

    Dr Mathilde Ducloie
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    Consultation schedule
    Wednesdays and Fridays

    Pain

    Dr Marie Francoise Amiel
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    Consultation schedule
    Thursday from 9 a.m. to 3 p.m.

    Post-operative control

    Josephine Malczuk, Louis Anzalone
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    Consultation schedule
    Wednesday from 9 a.m. to 12 p.m.
    Friday from 9 a.m. to 5 p.m.

      Composition of service

      • 2 University Professors Hospital Practitioners
      • 4 Hospital Practitioners
      • 1 Head of Clinic of Universities · Assistant of Hospitals
      • 1 Specialist Assistant
      • 1 junior doctor
      • 1 senior health officer

      Professor Evelyne Emery

      head of service

      Professor Evelyne Emery

      University Professor, Hospital Practitioner
      General neurosurgery, neuro-oncology/skull base surgery, awake surgery, spine, pain surgery
      Profile

      Sebastien Hamard

      Senior health executive

      Sebastien Hamard

      Senior health executive
      Profile

    • Our support

      Tasks

      The Neurosurgery department at CHU Caen Normandie provides care for all cranial and spinal neurosurgical pathology in the entire former Basse-Normandie region and neighboring geographical areas. The service provides 24/7 emergency activity throughout the year. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention in both adult and pediatric pathology. The population basin is 1.8 million inhabitants.

      Activities

      Each year, more than 9,000 consultations and nearly 2,300 operations are carried out in the Neurosurgery department. Innovative techniques are regularly developed and evaluated within the framework of clinical research protocols. These techniques concern all themes and more particularly neurosurgical neuro oncology, spinal surgery, vascular neurosurgery and functional neurosurgery (except deep brain stimulation and SEEG).

      Collaborations

      There is constant collaboration with several other specialists from the CHU and other partner hospitals, allowing multidisciplinary care. Thus, in parallel with department staff meetings, Multidisciplinary Consultation Meetings ( RCP ) take place on a weekly basis, with the participation of neuro-oncologist colleagues, radiotherapists, neuro-pathologists, neuroradiologists, rheumatologists, etc.

      Pathologies

      Care activities

      Care activities cover all neurosurgical pathology, both in the adult and pediatric population, more specifically:

      • Craniocerebral trauma (fractures, hematomas, cerebral oedema, etc.) ,
      • Brain tumors (metastases, gliomas, meningiomas, acoustic neuromas, pituitary tumours, etc.),
      • CSF circulation disorders (hydrocephalus, Chiari malformations, syringomyelia, etc.),
      • Vascular pathology (cerebral aneurysm, arteriovenous malformations, cavernomas, etc.),
      • Spinal pathology:
        • Traumatic (vertebral fractures, ligament instability, etc.) ,
        • Tumor (metastasis…) ,
        • Degenerative (herniated disc, narrow lumbar canal, spondylolisthesis, scoliosis, etc.),
        • Innovative activities: disc prostheses, anterior approaches, percutaneous arthrodesis,
      • Pathologies of the spinal cord (tumors, vascular malformations) ,
      • Peripheral nerve pathologies (carpal tunnel, neuromas, etc.) ,
      • Functional neurosurgery:
        • Chronic pain surgery (cerebral or spinal cord stimulation, cordotomies, drezotomy, morphine pumps, vascular-nervous decompression and balloon for trigeminal neuralgia, radiofrequency techniques),
        • Surgery for refractory epilepsy (essentially lesional) ,
        • Spasticity surgery (neurotomies, tenotomies, Baclofen pumps) ,
      • Pediatric neurosurgery (craniostenosis, brain tumours, hydrocephalus, dysraphisms) .

      Hospitalizations

      The Service has 57 full hospitalization beds spread over three units (2 units on the 12th floor of the Côte de Nacre Tower and 1 unit on the 11th floor , with a continuous care sector of 5 beds) . In addition 2 HDJ armchairs.

      Pediatric hospitalization is at the FEH in the pediatric surgery and/or pediatric intensive care units.

      The consultation sector organized on level 12 is divided into 4 consultation rooms and a room for rTMS stimulation and Pain nurse consultations. RAAC nurse is also located within the consultation sector.

      Patients with serious neurosurgical pathologies requiring intensive care are hospitalized in the surgical intensive care unit (3 units on the 6th floor and 1 unit on the 16th floor ) .

      Surgical activities are carried out in 2 operating rooms: a block dedicated to neurosurgery, on the 12th floor (3 operating rooms), and a block dedicated to emergency interventions in the University Hospital Emergency Medicine as well as access in the pediatric unit of the Woman·Child·Hematology Hospital ( FEH ) and some outpatient surgery shifts at the FEH as well.

      The technical platform

      The technical platform of the operating theater is made up of:

      • 4 latest generation operating microscopes,
      • 2 neuronavigation guidance systems,
      • 1 neuro-sono-navigation guidance system,
      • 1 neurosurgical endoscopy column,
      • 2 ultrasonic vacuum cleaners,
      • 1 stereotaxy system,
      • 1 intraoperative electrophysiological monitoring system for awake surgery, and peripheral nerve monitoring for skull base surgery.

      Soon a navigation system for the spine with 3D amplifier will be acquired as well as a third neuronavigation and a third ultra sonic vacuum cleaner.

      brain mapping

      The department also has all the skills to perform cerebral mapping surgeries (surgery with electrophysiological monitoring of certain cerebral functions under general or local anaesthesia) with the presence in the theater of a neuropsychologist (Ms. C. Lalevée) and hypnosis techniques.

      Useful documents

      RAAC Passport

      Improved Rehabilitation After Surgery

      • Reference / competence centers

        Craniospinal Malformation

        C MAVEM

        Spinal Osteoarticular Infection Center

        Spinal osteoarticular infection center
        to be developed

      • Research & teaching

        Memberships & partnerships

        The Neurosurgery department is affiliated with the University of Caen Basse-Normandie and provides teaching activities to medical students and offers a 3 rd cycle training program in Neurosurgery developed from European standards.

        On the other hand, the department undertakes to explore and develop new treatments by participating in several clinical or fundamental research projects. In particular, with the partnership of one of the largest neuroscience research centers in France, Cyceron , many research projects aimed at improving the treatment of our patients are very regularly conducted. Our service is one of the world leaders in research on ruptured intracranial aneurysms. We are also recognized for our research work in neuro-oncology. The dynamism of the research neurosurgery department ensures that you always benefit from the best treatment, possibly innovative, and always validated according to the most rigorous scientific standards.

        Publications and research protocols

        The department's research activity can be measured by the number of scientific publications in specialized international journals, which has exceeded 100 over the past 10 years.

        Another indicator of the recognition of the Neurosurgery department on a national scale is its ability to obtain significant public subsidies to conduct large-scale studies on the national territory. Over the past 5 years, the service has obtained 3 major grants, for an amount of around 2 million euros, which allows us to offer ever more innovation at the service of our patients.

        Teachers, service researchers

        This important research activity also translates into important responsibilities at the national level for the service's teacher-researchers:

        • Professor Evelyne Emery , head of the neurosurgery department, is also the president of the National University Committee for Neurosurgery, the highest authority for neurosurgery teacher-researchers in France.
        • Professor Thomas Gaberel is editor-in-chief of the journal Neurochirurgie , an international scientific journal emanating from the French Society of Neurosurgery and the French-language Neurosurgery Society.

        Recent publications of the Neurosurgery Department CHU Caen Normandie (since 2020)

      • The latest news related to the service…

      Locate / contact service

      CHU Caen Normandy

      Côte de Nacre Hospital

      Avenue de la Côte de Nacre
      CS 30001
      14033 Caen cedex 9

      Neurosurgery

      Service Secretariat

      02 31 06 46 06
      e-mail
      Level GPS accessCar park Hall
      Service
      Côte de Nacre Tower
      Level : 12
      GPS Access: Main
      Car Park: Car Park 1
      : 02 31 06 46 06
      Consultation tray · Door D
      Côte de Nacre Tower
      Level : 1
      GPS access: Côte de Nacre
      Car Park: Car Park 2
      : 02 31 06 46 06